Spot the Diagnosis 642-650

(642) You have been shown an X-ray plate of tibia. There is wide spread rarifaction with subperiosteal deposition of bone longitudinally.

(643) You have been shown an X-ray of a bone in which there is a soft tissue shadow. Spot the diagnosis?

(644) A lady of 60 has come with fracture of humerus. Her right breast was removed earlier. Spot the diagnosis?

(645)  A patient has come in the emergency for abdominal pain with vomiting. There is visible peristalsis which moves from left to the right. Spot the diagnosis?

(646) A patient of 50 has come in the S.O.P.D. He has enlarged left supraclavicular lymph gland.
(a) Spot the diagnosis?
(b) What is the name of the gland?

(647) A patient has come. When his loin just outside of erector spinae was percussed it is found to be dull. Spot the diagnosis?

(648) A patient of 50 has come with pain in the epigastrium which passes through to the back. The pain is aggrevated when he lies down and lessens when he sits up.  Spot the diagnosis?

(649) A lady have been admitted in the surgical ward for a lump in the epigastrium. The mass is less mobile and more tender. Spot the diagnosis?

(650) A patient of 55 has been admitted for a lump in the epigastrium. The lump is farm, irregular and tender. Spot the diagnosis?

Answers.
(642) Ewing's tumour.
(643) sarcoma.
(644) Secondary carcinoma of humerus primary was in the breast.
(645) Pyloric stenosis.
(646) (a) Carcinoma of stomach.
(b) Troisier's sign.
(647) Renal tumour.
(648) Carcinoma of the body and tail of pancreas.
(649) Leaking perforation of peptic ulcer.
(650) Carcinoma stomach.